JACOB SCOTT WELLNITZ (FNP-BC) – Family Nurse Practitioner, NPI 1700418712
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,105 NURSE PRACTITIONER in MI
Provider Addresses for JACOB SCOTT WELLNITZ (FNP-BC)
2890 BURTCH RD
GRASS LAKE, MI 492409416
Phone: (906) 430-7448
Type: Mailing
1140 N STATE ST
SAINT IGNACE, MI 497811048
Phone: (906) 643-0466
Fax: (906) 643-0414
Type: Location
500 Osborn Blvd
Sault Sainte Marie, MI 497831822
Phone: (906) 635-4460
Type: Location
500 OSBORN BLVD
SAULT SAINTE MARIE, MI 497831822
Phone: (906) 635-4460
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $194.
Total Amount is formed as General ($194) + Research ($0) + Ownership ($0) = $194.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($89).
Total Amount
$194
General + Research + Ownership
Payments
10
Total payment records
General Amount
$194
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $89 |
| Amgen Inc. | $43 |
| Merck Sharp & Dohme LLC | $38 |
| Exact Sciences Corporation | $25 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-03-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200303002394 | I | Nurse Practitioner | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99283 | Emergency department visit with low level of medical decision making | 100 | 95 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 97 | 89 | $0 |
| 99282 | Emergency department visit with straightforward medical decision making | 14 | 14 | $0 |
Insurance plans in this area (ZIP 49240)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| Physician Assistant | MI | |
| Internal Medicine | MI | |
| Emergency Medicine | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Nurse Practitioner | MI | |
| Emergency Medicine, Internal Medicine | MI | |
| Family Practice | MI |
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